Reamed Femoral Nailing and the Systemic Inflammatory Response

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Abstract

Early stabilization of long fractures can prevent systemic complications, but definitive stabilization of the femoral shaft with reamed intramedullary nailing (RIMNF) could cause complications in certain subsets of patients. Initially, it was thought that patients with thoracic injuries were at risk for complications, but this has been shown to not be the case. Current thoughts revolve around avoiding RIMNF in patients who have an overstimulated immune system and/or who are underresuscitated. These patients could react better to initial stabilization with an external fixator with later conversion to a RIMNF, so-called damage control surgery.

Original languageEnglish (US)
Pages (from-to)25-29
Number of pages5
JournalTechniques in Orthopaedics
Volume19
Issue number1
DOIs
StatePublished - Mar 2004

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Keywords

  • Damage control surgery
  • Fat embolization
  • Fat embolization syndrome
  • Femoral shaft fracture
  • Long bone fractures
  • Multiple trauma
  • Reamed femoral intramedullary nailing
  • Systemic inflammatory response

ASJC Scopus subject areas

  • Surgery

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